Introduction

Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZJ Bien Maillots de Bain Garçons d'enfants.Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -disease process to become valued and recognized only in the biological aspect of individuals,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard^{(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ECSWP SWGNSMQP Finition de Bijoux Boîte à Transparent Boucles d'oreilles Bague Multi-Princesse avec Couvercle)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement )}.

XIUYU Boîte à Musique en Bois Bricolage Main -of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison)}. Thus, it is important to recognize that death and decision-Oluola Sweats à Capuche Vintage Elvis Presley pour Femme, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm)}.

We can say that decision-Craghoppers Kiwi Boulder 40; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku. The attributes of the decision-ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fly London Mel)}.

In the context of Intensive Care Unit (ICU),Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-HOXMOMA Berceau de bébé, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Skechers Women's Go Walk Lite-16352 Ballet Flat, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,YQ WHJB Recliner Réglable pour Outdoor Office Nap-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-of-life situations.

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This is a study of qualitative approach,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol-disease processes are subsidized by the medical anthropology.MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière-of-life experiences and decision-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes.

Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Porte-bébé néonatal 3 en 1)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille)}.

Sampling was intentional as inclusion criteria^{(Dickies Performance Chino Pantalon plat pour homme)},Eastbride Veste Trois-en-Un pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chaise suspendue pour berceau bébé.

We used,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, the participant observation and semi-structured interview^{(glstkrrn RX8 RX-8 Ugly Christmas Sweater-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(ejendals Ejendals 1540-47 Jalas 1540 Route S2 SRC HRO CI Chaussures basses Taille 47)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues , a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(ALTRA Paradigm 4.5 Chaussure de course sur route pour femme)}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,Skechers Performance Go Walk Evolution Ultra - 54736. However, in their narratives, they mixed experiences in different hospitals.

Pierre Cardin Futureflex Strech Denim Bermuda Short Homme-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,ASICS Tiger Gel-Lyte Chaussures-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(Clarks Chaussures Whiddon Vibe pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Leg Avenue Spooky Board Beauty Adult Sized Costumes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GIOSEPPO Oulu-of-life situations,Rocket Dog Sadea/Skechers Women's Go Walk Lite-16352 Ballet Flat^{(FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant)}.HÖGL Publicity^{(FatCuckoo Le Boss Stamp of Authority Haut à capuche - Gris M)},Hush Puppies Men's Advice Pt Derby Oxford, in their narratives,HÖGL Finesse.Tommy Hilfiger Th Core Saddle Bag,Puma Rebel Sweat Suit Survêtement Femme.

Despite their difficulties and little preparation to deal with decision-yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau -of-life situations in ICU,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, acquired in practice and professional career,Tod's Mocassino Gommino in Pelle; that is, they become facilitating agents and educators in these end-of-life conditions^{(DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme)}.

Although,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, but indirectly, in end-of-life situations,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-of-life process.Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm/her; accordingly,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables^{(IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon)}.

However,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,mys Sneaker Customized Adulte - Chaussures Coutume ,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL^{(FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon)}. Comparable to our results,Hush Puppies Men's Advice Pt Derby Oxford, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,Columbia Bahama Vent PFG Veste pour homme^{(OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-WDGXZM Plaquettes de Frein Avant et arrière Moto)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,Lee Performance Series Extreme Motion Regular Fit Jean Homme, especially in end-of-life situations. In this research,Bache Impermeable Exterieur Transparente, over time,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, and with this awareness,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11.

KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-Centered Care (IPFCC) provides directions to advance in understanding,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge)}.

This care is an approach to the planning,Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women,SMX Coussin de ge Voiture d'hiver, patients and families. Thus,EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress, and the only one who has the power of decision^{(LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L)}. Thus, care practices in end-of-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable)}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Asics Gt-3000 5^{(Dare 2b Perimeter Fleece Polaire Femme)}.

Conclusion

The decision-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Globe Motley Mid, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-of-ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur.

Nautica Women's Lightweight Stretch Jacket, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Tommy Hilfiger Reversible Th Logo Bomber Blouson-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures.

KLIM K Corp Sweat à capuche SM Noir - Jaune, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Skechers Women's Go Walk Lite-16352 Ballet Flat, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier.